Follow-up on corrections·October 10, 2025

Licensing Program Analyst (LPA) Jerome Haley conducted a case management visit regarding observations made during the investigation into complaint control # 22-AS-20210723134206. During the complaint investigation mentioned above, LPA Haley made several observations on a complaint visit conducted August 14, 2024, to gather information on the recently reassigned complaint. During the visit, there was a woman in the kitchen who refused to provide her name. The woman said she was just there to wash the dishes and eventually left through the garage. When the Administrator arrived the name of individual was provided. During a subsequent visit, the same staff member confirmed the woman who was observed in the kitchen during the August 14, 2024, visit was sent to get fingerprinted after the visit on August 14, 2024. A review of guardian shows the individual observed in the kitchen was associated September 22, 2024, after the August 14, 2024, visit was conducted. During the same visit, when LPA toured the facility the stove, dishwasher, and a table in the backyard were observed in disrepair. Photos were taken. The next day, on August 15, 2024, LPA Haley received an email with a video of a repaired stove that ignites without assistance and a new table with chairs in the backyard. IN the same email LPA was informed a new dishwasher was purchased and once installed, photos would be provided. As a result of today’s Case Management visit, deficiencies will be cited for the observations that were made July 19, 2024. Several photos were taken, and staff confirmed all the deficiencies that were observed including the unassociated individual present in the facility upon LPA’s arrival. An exit interview was conducted and a copy of this report, LIC809D, and appeal rights were provided.